A tension exists in the surgical literature about using chronological age to forecast surgical risk. Large database studies have generally concluded that advancing age independently predicts adverse surgical outcomes. In contrast, single-institution case series have noted that excellent surgical outcomes can be achieved in the oldest old. An explanation that may reconcile these opposing conclusions is the concept of physiological, rather than chronological, age that is quantified using frailty assessment.
Robinson TN, Finlayson E. How to Best Forecast Adverse Outcomes Following Geriatric Trauma: An Ageless Question? JAMA Surg. 2014;149(8):773. doi:10.1001/jamasurg.2014.304
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